Quality of Life Research

, Volume 23, Issue 1, pp 145–153 | Cite as

Poor self-rated health associated with an increased risk of subsequent development of lung cancer

  • Hilde Kristin Refvik Riise
  • Trond Riise
  • Gerd Karin Natvig
  • Anne Kjersti Daltveit
Article

Abstract

Purpose

Self-rated health has shown to be a strong predictor of mortality and some major chronic diseases. The purpose of this study was to investigate whether poor self-rated health also was related to an increased risk of subsequent development of cancer.

Methods

Information on self-rated health, life-style factors, and other health-related risk factors was ascertained in a cohort of 25,532 persons participating in the Hordaland Health Study in 1997–1999. Information on development of cancer during 10 years of follow-up was obtained from the Norwegian Cancer Registry. The relationship between self-rated health and development of cancer was examined using Cox regression analysis adjusting for smoking and other life-style factors.

Results

Respondents reporting a poor health showed a non-significant increased risk of overall cancer. Sub-analysis of the four most common types of cancer showed a statistically significant association between self-rated health and lung cancer. The adjusted hazard ratio was 3.88 (95 % CI; 0.99, 15.8) for those rating their health as poor compared to very good (p for trend = 0.038). For the other types of cancer, we found a non-significant elevated risk associated with poor self-rated health.

Conclusion

Respondents who perceive their health as poor had an increased risk of developing lung cancer also after adjusting for smoking. This suggests that self-rated health reflects a broad range of factors important for development of this cancer type. Nevertheless, due to the explorative analysis of the specific cancer types, these findings need to be repeated before elaborate interpretations can be made.

Keywords

Self-rated health Follow-up study HUSK Lung cancer Health behavior Life-style 

Notes

Conflict of interest

None declared.

References

  1. 1.
    Facts on cancer and updated numbers on cancer in Norway (Internet). Oslo: The Cancer-association, Norway; 2011 [Retrieved 2012 02, Dec]. Available from: http://www.kreftforeningen.no/om_kreft/hva_er_kreft/hva_er_kreft_2731.
  2. 2.
    Colditz, G. A., Sellers, T. A., & Trapido, E. (2006). Epidemiology—identifying the causes and preventability of cancer? Nature Review Cancer, 6(1), 75–83.CrossRefGoogle Scholar
  3. 3.
    Huisman, M., & Deeg, D. J. H. (2009). A commentary om Marja Jylha`s what is self-rated health and why does it predict mortality? Towards a unified conceptual model. Social Science and Medicine, 70(5), 652–654.PubMedCrossRefGoogle Scholar
  4. 4.
    Jylhâ, M. (2009). What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Social Science and Medicine, 69(3), 307–316.PubMedCrossRefGoogle Scholar
  5. 5.
    Krokstad, S. (2006). Hva betyr selvopplevd helse for dødeligheten? Tidsskrift for Den Norske legeforening, 126(20), 2644–2647.PubMedGoogle Scholar
  6. 6.
    Jylha, M., Guralnik, J. M., Ferrucci, L., Jokela, J., & Heikkinen, E. (1998). Is self-rated health comparable across cultures and genders? The Journals of Gerontology Series B, Psychological Science and Social Science, 53(3), 144–152.CrossRefGoogle Scholar
  7. 7.
    Fylkesnes, K., & Forde, O. H. (1991). The tromso study: Predictors of self-evaluated health–has society adopted the expanded health concept? Social Science Medicine, 32(2), 141–146.PubMedCrossRefGoogle Scholar
  8. 8.
    Shadbolt, B. (1996). Health consequences of social-role careers for women: A life-course perspective. Australia and New Zealand Journal of Public Health, 20(2), 172–180.CrossRefGoogle Scholar
  9. 9.
    Shetterly, S. M., Baxter, J., Mason, L. D., & Hamman, R. F. (1996). Self-rated health among Hispanic vs non-Hispanic white adults: The San Luis Valley health and aging study. American Journal of Public Health, 86(12), 1798–1801.PubMedCrossRefGoogle Scholar
  10. 10.
    Moller, L., Kristensen, T. S., & Hollnagel, H. (1996). Self rated health as a predictor of coronary heart disease in Copenhagen, Denmark. Journal of Epidemiology and Community Health, 50(4), 423–428.PubMedCrossRefGoogle Scholar
  11. 11.
    DeSalvo, B., Bloser, N., Reynolds, K., He, J., & Muntner, P. (2005). Mortality prediction with a single general self-rated question a meta-analysis. Journal of General Internal Medicine, 21(3), 267–275.PubMedCrossRefGoogle Scholar
  12. 12.
    Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38(1), 21–37.PubMedCrossRefGoogle Scholar
  13. 13.
    Mossey, J. M., & Shapiro, E. (1982). Self-rated health: A predictor of mortality among the elderly. Amerian Journal of Public Health, 72(8), 800–808.CrossRefGoogle Scholar
  14. 14.
    Nielsen, A. B. S., Siersma, V., Rener, S., Hjort, L. C., et al. (2009). The impact of changes in self-rated general health on 28- year mortality among middle-aged Danes. Scandinavian Journal of Primary Health Care, 27(3), 160–166.PubMedCentralPubMedCrossRefGoogle Scholar
  15. 15.
    Shadbolt, B., Barresi, J., & Craft, P. (2002). Self-rated health as a predictor of survival among patients with advanced cancer. Journal of Clinical Oncology, 20(10), 2514–2519.PubMedCrossRefGoogle Scholar
  16. 16.
    Cox, T. (1988). Psychobiological factors in stress and health. In S. Fisher & J. Reason (Eds.), Handbook of life stress, cognition and health. New York: John Wiley.Google Scholar
  17. 17.
    Flensborg-Madsen, T., Johansen, C., Gronbaek, M., & Mortensen, E. L. (2011). A prospective association between quality of life and risk for cancer. European Journal of Cancer, 47(16), 2446–2452.PubMedCrossRefGoogle Scholar
  18. 18.
    Chida, Y., Hamer, M., Wardle, J., & Steptoe, A. (2008). Do stress-related psychosocial factors contribute to cancer incidence and survival? Nature Clinical Practice Oncology, 5(8), 466–475.PubMedCrossRefGoogle Scholar
  19. 19.
    International classification of diseases, Revision 7 [Internet]. Oxford: Wolfbane Cybernetic; 1955 (Retrived 2012 25, June) Available from: http://www.wolfbane.com/icd/icd7.htm.
  20. 20.
    Lundberg, O., & Manderbacka, K. (1996). Assessing reliability of a measure of self-rated health. Scandinavian Journal of Social Medicine, 24(3), 218–224.PubMedGoogle Scholar
  21. 21.
    Pallant, J. (2010). SPSS survival manual: A step by step guide to data analysis using SPSS (4th ed.). Maidenhead: Open University Press.Google Scholar
  22. 22.
    Garssen, B. (2004). Psychological factors and cancer development: evidence after 30 years of research. Clinical Psychology Review, 24(3), 315–338.PubMedCrossRefGoogle Scholar
  23. 23.
    Coyne, J. C., Ranchor, A. V., & Palmer, S. C. (2010). Meta-analysis of stress-related factors in cancer. Nature Reviews Clinical Oncolology, 7(5), 1–2.Google Scholar
  24. 24.
    Butow, P. N., Hiller, J. E., Price, M. A., Thackway, S. V., Kricker, A., & Tennant, C. C. (2000). Epidemiological evidence for a relationship between life events, coping style, and personality factors in the development of breast cancer. Journal of Psychosomatic Research, 49(3), 169–181.PubMedCrossRefGoogle Scholar
  25. 25.
    Pijls, L. T., Feskens, E. J., & Kromhout, D. (1993). Self-rated health, mortality, and chronic diseases in elderly men. The Zutphen Study, 1985–1990. American Journal of Epidemiology, 138(10), 840–848.PubMedGoogle Scholar
  26. 26.
    Kaplan, G., Barell, V., & Lusky, A. (1988). Subjective state of health and survival in elderly adults. Journal of Gerontology, 43(4), 114–120.CrossRefGoogle Scholar
  27. 27.
    Idler, E. L., & Kasl, S. (1991). Health perceptions and survival: Do global evaluations of health status really predict mortality? Journal of Gerontology, 46(2), 55–65.CrossRefGoogle Scholar
  28. 28.
    Kaplan, G. A., & Camacho, T. (1983). Perceived health and mortality: A nine-year follow-up of the human population laboratory cohort. American Journal of Epidemiology, 117(3), 292–304.PubMedGoogle Scholar
  29. 29.
    Khuder, S. A., & Mutgi, A. B. (2001). Effect of smoking cessation on major histologic types of lung cancer. Chest, 120(5), 1577–1583.PubMedCrossRefGoogle Scholar
  30. 30.
    Emaus, A., & Thune, I. (2011). Physical activity and lung cancer prevention. Recent Results in Cancer Research, 186, 101–133.PubMedCrossRefGoogle Scholar
  31. 31.
    Bandera, E. V., Freudenheim, J. L., & Vena, J. E. (2001). Alcohol consumption and lung cancer: A review of the epidemiologic evidence. Cancer Epidemiology, Biomarkers and Prevention, 10(8), 813–821.PubMedGoogle Scholar
  32. 32.
    Sephton, S., & Spiegel, D. (2003). Circadian disruption in cancer: a neuroendocrine-immune pathway from stress to disease? Brain, Behavior, and Immunity, 17(5), 321–328.PubMedCrossRefGoogle Scholar
  33. 33.
    Kiecolt-Glaser, J. K., Stephens, R. E., Lipetz, P. D., Speicher, C. E., & Glaser, R. (1985). Distress and DNA repair in human lymphocytes. Journal of Behavioral Medicine, 8(4), 311–320.PubMedCrossRefGoogle Scholar
  34. 34.
    Yang, E. V., & Glaser, R. (2003). Stress-induced immunomodulation: Implications for tumorigenesis. Brain, Behavior, and Immunity, 17(1), 37–40.CrossRefGoogle Scholar
  35. 35.
    Friberg, S., & Mattson, S. (1997). On the growth rates of human malignant tumors: implications for medical decision making. Journal of Surgical Oncology, 65(4), 284–297.PubMedCrossRefGoogle Scholar
  36. 36.
    Key, T. J., Allen, N. E., Spencer, E. A., & Travis, R. C. (2002). The effect of diet on risk of cancer. Lancet, 360(9336), 861–868.PubMedCrossRefGoogle Scholar
  37. 37.
    Byers, T. E., Graham, S., Haughey, B. P., Marshall, J. R., & Swanson, M. K. (1987). Diet and lung cancer risk: Findings from the Western New York diet study. American Journal of Epidemioogyl, 125(3), 351–363.Google Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  • Hilde Kristin Refvik Riise
    • 1
  • Trond Riise
    • 1
  • Gerd Karin Natvig
    • 1
  • Anne Kjersti Daltveit
    • 1
  1. 1.Department of Global Public Health and Primary CareUniversity of BergenBergenNorway

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